Trans-supraorbital Approach to Anterior Circulation Aneurysms / 대한뇌혈관학회지

ABSTRACT

BACKGROUND: The ultimate goal of minimally invasive surgery to the cerebral lesions is the smallest possible approach with an optimal surgical results. We present our experience in the surgery for anterior circulation aneurysms by using trans-supraorbital approach. METHODS: Between December 1998 and September 1999 seventeen patients with nineteen anterior circulation aneurysms were operated on via trans-supraorbital approach. Through a 4 to 5 centimeters long eyebrow or wrinkle incision trans-supraorbital approach was performed making a 3x2 cm bone flap including the orbital roof and rim. Advantages, indication of the this approach are discussed and surgical results are presented. RESULTS: All aneurysm were clipped without remmant. Outcome evaluated by the Glasgow outcome scale at 3 months after surgery was as follows; good recovery in 14 patients, moderate disability in 2 patients, severe disability in 1 patients. There was no procedure-related complications in our series. CONCLUSION: The trans-supraorbital approach to anterior circulation aneurysms may be the alternative minimally invasive approach in selected aneurysmal subarachnoid hemorrhage patients.